Organization
EDWARD JOHN NOBLE HOSPITAL OF GOUVERNEUR NY
Active
Other names
Edward John Noble Hospital of Gouverneur
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ROGERS (PATIENT ACCOUNTING SUPERVISOR)
(315) 287-1000
Entity
Organization
Contact information
Practice address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 535-9244
(315) 535-9305
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-1000
(315) 535-9207
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
4423000C
NY
282NR1301X
Rural Acute Care Hospital
Primary
4423000H
NY
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
013468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354256
—
NY
01
—
5805784
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/31/2005
Last updated
08/13/2013
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